Senior Specialist, Healthcare Accounts Receivable

Walgreens•Danville, IL

1d•$15 - $30

About The Position

As a Senior Specialist, AR Central Collections, you will follow up on collections for accounts and issues escalated by the BPO. The role audits BPO work, trains BPO staff as assigned, and approves adjustments as assigned. It also involves conducting complex research to resolve receivable data and payer issues. The position requires knowledge of U.S. healthcare regulations, payer contracts, government regulations, pharmacy workflows, and subsidiary receivable systems relevant to assigned receivable types. The specialist processes receivable adjustments, researches unapplied payments, runs queries and reports, verifies billing and accounting documents, and helps ensure accuracy for both their own work and BPO staff. They provide guidance to BPO and less experienced clerical staff, and handle assigned inquiries and issues.

Requirements

High school diploma or GED.
At least 1 year of experience in clerical receivables, accounting, data forms, or data entry.
Professional verbal and written communication skills.
Intermediate Microsoft Excel skills, including functions and tasks such as SUM, formatting cells and columns, inserting charts, text wrapping, sorting, headers and footers, and printing.
Basic Microsoft Word skills, including document editing and formatting, sorting, bullets, inserting images and dates, find and replace, spell check, track changes, review pane, and printing.

Nice To Haves

Experience with receivable collections and verbal and written collection follow-up.
At least 2 years of U.S. healthcare industry, revenue cycle, and/or pharmacy workflow experience.
Experience with applicable U.S. healthcare regulations.
Basic Microsoft PowerPoint skills.
Basic Microsoft Access skills, including working with tables, forms, queries, reports, labels, and exporting data to Excel.
Experience analyzing and reporting data to identify issues, trends, or exceptions, improve results, and find solutions.
Experience providing customer service to internal and external customers, meeting service quality standards, and evaluating customer satisfaction.
Experience reviewing and auditing own or others' work.

Responsibilities

Contact payers to collect past-due invoices and obtain missing information for payments received; correct and resend billings.
Prepare escalation reports and email the Manager when unresolved issues require further escalation.
Train and certify BPO AR staff, audit their work as assigned, and answer questions escalated by BPO staff about U.S. healthcare, pharmacy processes, and the receivable system.
Know and apply U.S. healthcare regulations, payer contracts, government regulations, pharmacy workflows, and subsidiary receivable systems related to assigned receivable types.
Process receivable adjustments and research unapplied payments requiring comprehensive knowledge of the AR system and departmental revenue cycle processes.
Run basic and more complex receivable-system data queries and reports according to standard processes.
Prepare reports as required by procedures.
Verify billing invoices, forms, vouchers, and other accounting documents according to process guidelines; contact internal and external departments to obtain information, documents, or payments.
Follow processes and perform transactions accurately; ensure system and data accuracy for self and BPO staff.
Use knowledge of procedures and processes to train and audit others, and provide work guidance to BPO staff and less experienced clerical staff.
Handle questions and inquiries and resolve assigned issues.